Aesthetic Plastic Surgery最新文献

{"title":"Assessment of Awareness, Source of Information, Motivational Factors, and Barriers for Rhinoplasty Among Young Females in Jordan: A Cross-Sectional Study.","authors":"Mohamed Tawalbeh, Taif Al-Saraireh, Mohammad Al-Jafari, Rewan M Ibrahim, Sadeen Zein Eddin, Saba Hamasha, Lubna Khreesha, Baeth Al Rawashdeh","doi":"10.1007/s00266-024-04552-7","DOIUrl":"https://doi.org/10.1007/s00266-024-04552-7","url":null,"abstract":"<p><p>Rhinoplasty, or nose job surgery (NJS), alters the nose's size, shape, or structure. It can fix congenital abnormalities, enhance breathing, or improve nose attractiveness. Due to Jordan's high financial standing, cultural influences, and trained surgeons, rhinoplasty is the most prevalent cosmetic surgery in the USA and Jordan. Although reasonably safe, it can cause bleeding, infection, respiratory problems, and dissatisfaction. This cross-sectional study included Jordanian 20-24-year-old girls who completed a self-administered online questionnaire. A questionnaire was created by all study authors and assessed for internal reliability using Cronbach's α test. The participants (69%, 68.4%, 58%, and 54.1%) of the four groups strongly believe that functional abnormalities motivate surgery. Self-confidence, beauty standards, and new trends showed statistically significant differences. Groups 1 and 3 mostly strongly agreed (37.9%, 34.8%), Group 2 mostly agreed (47.4%), and Group 4 was neutral primarily (28.2%). This study evaluated postoperative issues awareness with the following variables: bruises and bleeding (89.2%), pain (73.2%), anesthesia complications (46.1%), inflammation (45%), stress due to with the outcome (42.8%), numbness and runny nose (41.7%), respiratory disorder and airway obstruction (38.2%), olfactory disturbance (38.2%), mismatch of the final nose appearance with other facial components (36%), remaining scar (30.4%), and allergy (19%). Rhinoplasty is becoming more popular due to various influences and motivations. It is still a surgical procedure with risks and complications, so the public should know its indications and risks.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Trauma Comparison of Inframammary Fold versus Endoscopic Transaxillary Approaches in Breast Augmentation: A 7-Year Cohort Study.","authors":"Zhaoyu Chen, Zhao Qiu, Jing Tong, Jie Yang, Chao Luo, Wenbin Jiang, Rongrong Wang, Jiaming Sun","doi":"10.1007/s00266-024-04619-5","DOIUrl":"https://doi.org/10.1007/s00266-024-04619-5","url":null,"abstract":"<p><strong>Background: </strong>This retrospective cohort study aimed to assess differences in surgical trauma between the inframammary fold approach and endoscopic transaxillary approach in breast augmentation surgery.</p><p><strong>Methods: </strong>One hundred and ninety-four patients who underwent breast augmentation using either an inframammary fold or endoscopic transaxillary approach were enrolled. All procedures were primary and bilateral cases. Patients' demographics and indicators, such as operation duration, postoperative volume of drainage, drainage duration, length of hospital stay, and postoperative pain scores, were observed and analyzed.</p><p><strong>Results: </strong>One hundred and five patients underwent inframammary fold incisions, while the remaining 89 received transaxillary incisions. The operation duration was significantly shorter in the inframammary fold group than in the transaxillary group, while the VAS scores were significantly lower (p < 0.001). Similarly, differences in the age and fertility status between the two groups were statistically significant (p < 0.05). However, no statistically significant differences were noted in the scores of the remaining indicators (p < 0.05).</p><p><strong>Conclusions: </strong>This research demonstrated that while patients in the endoscopic transaxillary group were typically younger, which is commonly hypothesized to result in superior results, the inframammary fold approach may offer a surgical option with reduced trauma and pain and concomitantly greater convenience and efficiency, yielding high satisfaction levels among Chinese women.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extended Superior Pedicle Autoaugmentation (ESPA) Mastopexy: A Review of 20 Consecutive Patients.","authors":"Gianluca Campiglio, Vitalba Giacalone","doi":"10.1007/s00266-024-04618-6","DOIUrl":"https://doi.org/10.1007/s00266-024-04618-6","url":null,"abstract":"<p><strong>Background: </strong>Ptotic breast deformity arises from decreased breast tissue volume and skin laxity, causing descent of breast tissue due to gravity. Mastopexy lifts and reshapes the breast and can be potentially associated with breast implants in case of need of volume increase. However, this option is not accepted by all the patients. The extended autoaugmentation mastopexy (ESPA) incorporates an abdominal flap to increase breast volume without implants, reducing surgical time and offering stable long-term outcomes.</p><p><strong>Objectives: </strong>The authors propose modifying the superior pedicle vertical mammaplasty to include glandular tissue transposition and an abdominal flap. This aims to restore central mound projection, narrow the lower breast base, and raise the inframammary fold.</p><p><strong>Method: </strong>Twenty patients underwent superior pedicle extended autoaugmentation (ESPA) mammaplasty from 2020 to 2024. Patients, aged 25 to 45, with wide, low-lying breasts lacking central projection, were selected. Breast tissue was elevated on a superior dermal pedicle extended inferiorly to an abdominal flap and transposed into a prepectoral pocket. The inframammary fold was raised, and the dead space is closed using internal and external temporary sutures.</p><p><strong>Results: </strong>Patients tolerated well the procedure, with one developing a seroma, successfully managed. All 20 patients expressed high satisfaction with postoperative breast shape and size, with no desire for subsequent augmentation.</p><p><strong>Conclusions: </strong>The technique extends the superior pedicle to include abdominal tissue, restoring central mound projection and modifying the inframammary fold. It reliably recreates a more youthful breast shape in suitable patients without the need for implants.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on: Advancing the Era of Liquid Rhinoplasty: A Methodological Approach to Injection Protocols.","authors":"Natalia Vieira Saint Clair Mafra, Gennaro Selvaggi","doi":"10.1007/s00266-024-04599-6","DOIUrl":"https://doi.org/10.1007/s00266-024-04599-6","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Prevalence and Etiological Factors of Body Dysmorphic Disorder in Cosmetic Surgery Populations: Implications for Enhanced Clinical Assessment.","authors":"Yihan Zhang, Yansi Lyu, Dandan Liu, Luotai Chen, Tingyin Lin, Zhuolin Liu, Yanting Ou, Xiangwen Xu, Mengfan Wu, Lin Luo, Jun Feng, Yongyan Cui","doi":"10.1007/s00266-024-04616-8","DOIUrl":"https://doi.org/10.1007/s00266-024-04616-8","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of body dysmorphic disorder (BDD) varies across different clinical settings, with evidence indicating its notable presence not only in psychiatric environments but also in dermatology and plastic surgery. This article aims to investigate the etiological factors associated with the elevated incidence of BDD in plastic surgery outpatient settings, with the ultimate objective of enhancing the assessment process for potential cosmetic procedure candidates.</p><p><strong>Methods: </strong>We recruited 531 patients seeking consultations or surgeries at the Department of Plastic Surgery, Peking University Shenzhen Hospital, from October 2022 to February 2024. The Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) was utilized to diagnose BDD, and the Hospital Anxiety and Depression Scale (HADS) assessed psychological comorbidities. Statistical analyses included Spearman's correlation, Kruskal-Wallis, and chi-square tests.</p><p><strong>Results: </strong>BDD was diagnosed in 11.3% of the participants, with significant variations related to gender (p = 0.042) and marital status (p = 0.026). A significant correlation was also displayed between BDD-YBOCS and HADS (Spearman's rho = 0.266, p < 0.001). Notably, BDD prevalence was higher during the COVID-19 pandemic (13.6%) compared to post-pandemic period (3.4%) (p = 0.003).</p><p><strong>Conclusion: </strong>This study elucidates the significant prevalence of body dysmorphic disorder (BDD) among patients seeking cosmetic surgery, highlighting critical demographic, psychological and environmental factors that contribute to its manifestation. Given the significant prevalence and the multifactorial nature of BDD, it is important to develop comprehensive assessment tools before cosmetic consultation that prioritize mental health alongside aesthetic considerations in the future.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment to: \"Efficacy and Safety of Hyaluronic Acid Combined with Botulinum Toxin Type A in the Treatment of Midcheek Groove: A Prospective Study\".","authors":"Alessandro Innocenti, Andrea Pizzo","doi":"10.1007/s00266-024-04625-7","DOIUrl":"https://doi.org/10.1007/s00266-024-04625-7","url":null,"abstract":"<p><p>Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutical Strategies to Prevent Abdominoplasty Complications: A Systematic Review.","authors":"Cristina Pires Camargo, Julia Adriana Kasmirski, Maria Stella Vasconcelos Sales Valente, Murilo Sgarbi Secanho, Wilson Cintra, Rolf Gemperli","doi":"10.1007/s00266-024-04563-4","DOIUrl":"https://doi.org/10.1007/s00266-024-04563-4","url":null,"abstract":"<p><strong>Background: </strong>Abdominoplasty is one of the most commonly performed procedures. Despite improvements in the abdominoplasty technique, seroma is the most common complication, ranging from 5 to 43%. This study aimed to review the literature to compare therapeutic strategies to prevent common adverse events in abdominoplasty.</p><p><strong>Methods: </strong>This review analyzed patients of both sexes older than 18 years who underwent abdominoplasty with or without liposuction. This study analyzed the following endpoints: frequency of seromas, surgical site infection, hematoma, dehiscence, necrosis, death, treatment duration for adverse events, length of hospital stay, seroma/hematoma volume.</p><p><strong>Results: </strong>We analyzed 24 articles, totaling 2997 participants with ages ranging from 18 to 85 years. The meta-analysis of 4 studies, with 180 participants, showed a 69% reduction in the occurrence of seroma when Scarpa's fascia preservation was adopted (OR, 0.38; 95%CI 0.16-0.91). Regarding other complications, Scarpa's fascia preservation showed a lower risk of infection (OR 0.31; 95%CI 0.12-0.79) and also lower risk of hematoma (OR 0.29; 95% CI 0.09-0.95) in seroma for Scarpa's fascia preservation when compared to not fascia's preservation.</p><p><strong>Conclusion: </strong>This review suggests that Scarpa fascia preservation decreases seromas, infections, and hematomas. However, more randomized controlled trials are necessary to improve the level of certainty.</p><p><strong>Level of evidence ii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refining Abdominoplasty: A Novel Technique for Umbilical Reconstruction.","authors":"Juan Manuel di Diego, Facundo Emilio Serra, Luis Mastronardi, Ignacio Cello, Facundo Alvarado, Pedro Alvarez","doi":"10.1007/s00266-024-04525-w","DOIUrl":"https://doi.org/10.1007/s00266-024-04525-w","url":null,"abstract":"<p><strong>Background: </strong>The umbilicus holds significant aesthetic and symbolic importance in abdominal contouring. Its position, shape, and overall appearance are pivotal in determining the success and patient satisfaction after abdominoplasty, although the best way to archive it is discussed. We present our technique with our statistics and complication rate.</p><p><strong>Methods: </strong>We conducted a literature review using PubMed and a retrospective review of patients between March 2023 and October 2023. Our technique involves specific steps to ensure a natural and aesthetically pleasing umbilicus, with minimal complications.</p><p><strong>Results: </strong>Of 49 patients, 4% experienced umbilical complications (2% partial dehiscence of umbilical knot, 2% necrosis of the navel), and 96% had no complications. Our technique showed a similar complication rate as the studies evaluated.</p><p><strong>Conclusion: </strong>Our technique for umbilical reconstruction provides superior aesthetic outcomes and minimized complications, making it a viable option in abdominoplasty procedures.</p><p><strong>Bullet point list: </strong>Novel Technique: The study introduces a new technique for umbilical reconstruction in abdominoplasty, emphasizing superior aesthetic outcomes and minimal complications. Low Complication Rate: Of the 49 patients studied, only 4% experienced complications, demonstrating the safety and efficacy of the technique. Patient Satisfaction: High patient satisfaction was noted, with feedback highlighting the natural and aesthetically pleasing appearance of the reconstructed umbilicus. Comprehensive Review: The research includes a thorough literature review and a retrospective analysis of patients, providing a well-rounded perspective on the technique's.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influencing Factors of Breast Morphological Changes After Dual-Plane Augmentation with Smooth Round Implans: A Correlational Study.","authors":"Yue Liu, Xiaoyu Zhang, Jie Luan","doi":"10.1007/s00266-024-04605-x","DOIUrl":"https://doi.org/10.1007/s00266-024-04605-x","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Breast morphology is the primary objective indicator for evaluating the outcome of augmentation surgery. Studies have indicated that breast morphology undergoes certain changes during the early postoperative period, which may result in a discrepancy between postoperative outcomes and preoperative design. This study utilized three-dimensional scanning technology and statistical methods to analyze the influencing factors of breast morphology changes, aiming to provide reference for implant selection and preoperative surgical planning.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study included patients who underwent endoscopic-assisted transaxillary dual-plane augmentation from July 2020 to June 2022. Anthropometry and three-dimensional scanning were performed on the enrolled patients, and the change values of postoperative breast morphological parameters were calculated. Spearman rank correlation tests were performed to assess the correlation between these changes and implant parameters as well as anthropometric measurements. Factors with high correlation were selected, and multivariate linear regression analysis was conducted.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 30 patients (60 breasts) were enrolled. The average downward displacement of the inframammary fold was 0.4 ± 0.3 cm, and the average outward displacement of the medial breast border was 0.2 ± 0.1 cm, both highly positively correlated with implant volume. The length of nipple-medial breast border increased by 0.5 ± 0.3 cm, highly positively correlated with the stretchability of the medial pole. The length of the nipple-to-inframammary fold increased by 0.6 ± 0.3 cm, highly positively correlated with implant volume and stretchability of the lower pole. Nipple displacement was 0.3 ± 0.2 cm outward, highly positively correlated with the stretchability of the medial pole. Nipple elevation was 0.2 ± 0.2 cm, highly positively correlated with implant volume and stretchability of the lower pole. Breast projection decreased by 0.4 ± 0.2 cm, highly positively correlated with preoperative breast projection. The average reduction in breast volume was 25.6 ± 15.7 cc, with the reduction value highly positively correlated with preoperative breast volume.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;After smooth round implant augmentation mammoplasty, the breasts experienced slight downward and outward displacement, with the main influencing factor being the implant volume. Nipple displacement outward and upward, as well as lateral displacement, was primarily influenced by the stretchability of the medial pole. Upward displacement was mainly influenced by implant volume and the stretchability of the lower pole. The increase in length of the nipple-to-inframammary fold skin was most significantly influenced by implant volume and the stretchability of the lower pole. Breast convexity and volume gradually decreased, with preoperative breast size having the most significant impact on thes","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capsular Contracture After Breast Augmentation: Our Approach to Prevent Reoccurrence with Combined Total Capsulectomy and Implantation of Motiva Ergonomix® Implants.","authors":"Pietro Luciano Serra, Marta Mariani, Mariachiara Fabbri, Vittoria Murone, Benedetta Scucchi, Filippo Contessi, Iulia Elena Marin, Chiara Botti, Giovanni Botti","doi":"10.1007/s00266-024-04547-4","DOIUrl":"https://doi.org/10.1007/s00266-024-04547-4","url":null,"abstract":"<p><strong>Background: </strong>Breast augmentation is the second most common aesthetic surgery worldwide. Capsular contracture, a prevalent complication which affects up to 30% of patients post-surgery, often leads to further necessary surgeries.</p><p><strong>Objectives: </strong>This study investigates the effectiveness of total capsulectomy combined with Motiva Ergonomix® implant replacement in resolving capsular contracture and minimizing recurrence rates.</p><p><strong>Methods: </strong>We conducted a retrospective study of 1067 patients and enrolled 51 women with capsular contracture post-breast augmentation. Patients were treated between 2014 and 2023 in a single center by three surgeons. Capsular contracture severity was graded using Baker's classification. Surgical interventions included total capsulectomy and implant replacement, using various incision techniques and changes in implant anatomical planes. Patients were followed up for a minimum of 12 months to a maximum of 9 years.</p><p><strong>Results: </strong>A total of 51 patients with grade III or IV capsular contracture underwent revisional surgery, involving the implantation of 102 Motiva Ergonomix® prostheses; 77 explanted implants resulted intact, 15 exhibited silicone bleeding, and 10 showed ruptured. Capsular contracture recurrence was observed in only 1.96% of cases during the follow-up period.</p><p><strong>Conclusions: </strong>The combination of total capsulectomy and implantation of Motiva Ergonomix® implants significantly reduces the recurrence rate of capsular contracture. Despite the study's limitations, including its single-center design and a small sample size, our results suggest that this approach is a viable and effective solution to manage this common complication in breast augmentation patients. Further multicentric studies are recommended to validate these results.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}